Individual provider Active NPI

Jonathan Andre Leon Rosen, M.D.

  • Ophthalmology Physician
  • Miami, FL
National Provider Identifier
1376681536
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME104640 Issued in FL
Practice address
1850 Coral Way
Miami, FL 33145-2731
Phone
(786) 309-7579
Fax
(305) 203-4950
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X ME104640 FL
Ophthalmology Physician 207W00000X ME104640 FL Primary

Addresses

Primary practice location

1850 Coral Way
Miami, FL 33145-2731

Mailing address

PO Box 451453
Miami, FL 33245-1453
Phone (786) 309-7579

Other identifiers 1

IdentifierTypeStateIssuer
001325100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090903000128 FL Practitioner - Ophthalmology 1850467440 Reassigns benefits to 1 organization
I20170712000207 VI Practitioner - Ophthalmology 1850467440 Reassigns benefits to 1 organization
Practice locations: St Thomas, VI

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Consultants, PCGroup PAC ID 9739340233, 12 clinicians

Practice addresses (Care Compare)

1850 Coral Way
Miami, FL 33145-2731
Phone (786) 353-2975

Island Medical Ctr
Suite 19
Christiansted, VI 00820
Phone (340) 773-2015

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

Merit-based Incentive Payment System (MIPS)

Final score
94.95 of 100Reported as group
Quality
92.42
Improvement activities
40
Cost
93.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME104640FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Consultants, PC Ophthalmology CurrentSince Dec 10, 2016 Accepting new patients
Reina Eye Care, P.a. Ophthalmology CurrentSince Mar 21, 2019 Accepting new patients
SLR Ophthalmology Associates, PC Past Accepting new patients
Cusaba Vision a Plus Inc Ophthalmology PastSince Jan 1, 2023 Accepting new patients
The New York Eye & Ear Infirmary Ophthalmology Associates, P.C. Past Accepting new patients
South Florida Eye Associates, PA Ophthalmology Past Accepting new patients
Mente Sana Psychological Services Inc PastSince Jul 4, 2021 Accepting new patients

Locations

1850 Coral Way
Miami, FL 33145
Phone (305) 772-4513

3659 S Miami Ave
Ste 4003
Miami, FL 33133
Phone (305) 854-4430

9000 Lockhart Gdns Shopp Ctr
St Thomas, VI 00802
Phone (340) 776-7098

Interoperability endpoints

  • Direct secure messaging: dr.jonathan.leonrosen@reinaeyecare.direct.eyemdemr.com
  • Direct secure messaging: jonathan.rosen@plessenophthalmology.direct.eyemdemr.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1376681536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451453",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332451453",
            "telephone_number": "786-309-7579",
            "fax_number": "305-203-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452731",
            "telephone_number": "786-309-7579",
            "fax_number": "305-203-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON ROSEN",
        "first_name": "JONATHAN",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME104640",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME104640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001325100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.